MARINA VIRGINIA HOLE

OAKLAND, CA
NPI1285344283
Former NameMARINA VIRGINIA FOUNTAINE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2022-11-30
Last Update Date2022-12-28
Business Address
MARINA VIRGINIA HOLE PA
3100 TELEGRAPH AVE
OAKLAND, CA 94609-3239
Phone number: 925-980-5778
Mailing Address
MARINA VIRGINIA HOLE PA
3100 TELEGRAPH AVE
OAKLAND, CA 94609-3239
Phone number: 925-980-5778
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